NPI | 1649255571 |
---|---|
Former Name | DANIELA IACONA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA 303788) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 007026) |
Enumeration Date | 2005-12-14 |
Last Update Date | 2017-07-06 |